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Aging milestonesChanges in old age depends on attitude as much as person to person. In young old age some changes begin to take place in a person’s appearance. Wrinkles, warts, age spots begin to form on the body. Hair begins to thin or becomes grey and even height lessens because the bone density decreases. While in ‘old‘ old age these changes are already permanent. Men might look distinguished if in good health, but women all look grandmotherly. In ‘young’ old age, cells begin to decay and muscle mass declines and immunity is no longer as strong as it used to be. People lose energy as the age progresses.  ‘Old’ old age brings in a lot of physical decline, profound changes in appearance and motor abilities, as also in sensation. Skin gets less elastic and becomes thin and blood vessels can break under the skin. The senses also begin to become dull. Eye lenses get affected and color perception and reading ability becomes very low. Hearing loss may lead to paranoia and ‘old’ old age people begin to think everyone is plotting against them because they can’t hear properly about what others are saying. Sense of smell also declines, but the taste remains almost intact. In ‘young’ old age, reflexes also slow down and so do the motor abilities. By the time they reach ‘old‘ old age most adults find that their response time has become quite reduced. This can be seen most in driving situations where it is difficult for ‘old‘ old aged adults to operate their vehicles as they have poor spontaneous responses. The ‘young’ old adults do not lose as much of their motor abilities as the ‘old‘ old adults, especially when holding small things like needles and pins. Of course, there are changes in sexuality and there may be a decline in the ability to have sex as men may not have an erection and women become dry due to lack of female hormones. Cognitive decline in 40% to 60% of older adults can be arrested with remedial training. Despite all the changes, most people even in their 70s remain comparatively active if they do not suffer any illness. Mental, physical, and social activity is necessary to maintain the quality of life. Old people begin to withdraw from work and other important roles and allow the younger people to take over. They are a lot happier as is also advised in Vedic literature as vridhashram. While activities are important, disengagement is equally important. Memory loss becomes aggravated and other cognitive abilities begin to decline and there are many ‘old‘ old adults who get Alzheimer’s and lose the ability to look after themselves. Old people also dwell on questions of death and sometimes go through a phase of denial and then anger that they have so little time left. Acceptance of death comes, but after a struggle and the idea of losing the family saddens them. Old people require support in their declining years as they begin to lose their faculties.
The post-delivery bluesA baby being born is cause for celebration. Especially in a country like India, where the family ties tend to be close, there is a festive atmosphere at home. However, sometimes the mothers may not share the same enthusiasm. This wave of negative emotions in the middle of what is clearly a happy occasion can be confusing for the new mother. Interestingly these feelings are not abnormal, as many new moms face postpartum depression, which is also called baby blues. It is an emotional reaction that begins a few days after delivery and lasts not more than 2 weeks. What are the symptoms of postpartum depression? Feelings of anger or irritability. Lack of interest in the baby. Lack of appetite and sleep disturbance. Crying and sadness. Irritability or hypersensitivity. Feelings of guilt, shame or hopelessness. Loss of interest, joy or pleasure in the things you used to enjoy. Possible thoughts of harming the baby or yourself. What are the causes of postpartum depression? Postpartum depression can occur due to a combination of factors. Hormonal changes: Changes in the level of hormones can leave you feeling tired, sluggish and depressed. Changes in your blood volume, blood pressure, immune system and metabolism can contribute to fatigue and mood swings. Emotional factors: Feeling overwhelmed with the new arrival in the family, and taking care of the baby day and night, may leave you sleep deprived, overexerted, and anxious. New mothers also feel that they look less attractive after pregnancy. You may feel that people around you are concerned with the baby more than you, and that you are being neglected. All these emotional factors may lead to postpartum depression. Other factors: Issues like breast feeding, financial strain, and relationship troubles can also contribute to postpartum depression. How does one deal with postpartum depression? Take complete rest and sleep for sufficient hours Spend quality time with your husband Go for healthy diet Take morning or evening walk for fresh air Try to follow yoga or other exercises Share your feelings with your husband or friends Do not overexert Join some groups for new moms Go for individual therapy or counsellors Remember, postpartum depression is not an incurable problem. It is just a temporary state of mind, which can be overcome if you are sufficiently aware of the problem.                
Making babies, the best way!Some couples get pregnant easily. But many couples have to wait months before the baby is conceived. There are several factors that affect conception right from fertility to the position during intercourse. Some believe that positions have nothing to do with conceiving a child. This is not true. Some positions are ideal to help the sperm meet the ovum. Let's see what some of these positions are. Missionary position:The best position for getting pregnant fast is the missionary position.Here the man is lying on top of the woman allowing for the deepest possible penetration, making it possible for the sperm to get deposited closest to the cervix. It is also the most common and comfortable position preferred by couples. Raise your hips high: Your hips have a lot to do in helping you get pregnant. Raise your hips high during sex by placing a pillow below you. This helps to expose the female cervix to as much semen as the male can release. Doggy position: Considered to be the most erotic and pleasurable position,this rear-entry position where the man enters the woman from behind is also recommended for increasing the chances of getting pregnant. In this position too, the sperm is deposited closest to the cervix, thereby increasing the chances of conception. Side-by-side: You can also try having intercourse while lying side by side. This position, likewise, causes the most exposure of the cervix to the male sperm. While these positions certainly improve your chances of getting pregnant, there is no guarantee that you will conceive. The most important thing is to enjoy this special time and have fun with your partner. So keep enjoying and keep trying!
Are you there for your teenage children?You must be there for your adolescent children so that they know who to turn to when they are confused. Being there does not necessarily mean your physical presence, but even the rules, boundaries, and standards of behavior you might have set should be able to guide them. When the teenager comes under peer pressure, then these rules may help them make the right choices. Teenagers live in fear They are frightened of their teachers, their friends; they are frightened of being mocked at or not being able to cope. They are dealing with a lot of issues, so when they come home, show them you care. They don't need parents screaming and shouting at them about their conduct or studies. The moment they come in, you should greet them with a smile, no matter what your feelings are otherwise. Don't expect your teenage children to be adults because they are still growing. Family is always important Most people think that teenagers no longer need the love, warmth, and support of the family. Your child might be a teenager,not a child to hold hands and show them the way, but they do need your support. A family works like an anchor that can pull back a teenager from being drifted away. Engage them.Speak to them regarding their likes and dislikes, the pressures they feel at studies, among other things. This could help them from the intense emotional turmoil they may be going through. Equation changes As a child you could cuddle your children, scold them, nurture and guide them, but as teenagers the equation might change. You may not cuddle your teenage child, but a warm hug now and then or a pat on the shoulder is enough to let them know that you love them just the same. Listen to them when they share an opinion. They want to prove themselves so follow their advice if it's reasonable so they feel they are an important part of the family and their opinions do matter. Don't treat your teenage children with suspicion.It will drive them away!! Moody If your teenage child is moody and uncommunicative, it does not mean that they don't need their family. It's just that friends might have taken precedence in their lives. Just the feeling that they have your support may encourage them to take their independent decisions. Information It is important to inform your teenage child regarding alcohol, drugs, and sex. However, you must also know they could experiment. So tell them about the dangers, and if they still make a mistake, then be there and do not abandon them. Help them get through the crisis. Teenage behavior Sometimes teenagers can behave erratically. It could be difficult to know if this is teenage moodiness or something more serious. As a parent you need to watch out for this and find out indirectly about what is troubling them. They might not open up immediately, but if you are around when they feel like chatting, they could let you know what is troubling them.
Teach your kid to stand up to bulliesAlmost everyone has heard of the beach bully who goes around kicking sand in the face of the skinny lad. That's the quintessential imagery associated with bullies and it has stayed with us for over 3 decades since the first ads came out. The ads generally endorsed body building products using the classic 'Before' and 'After' construct, i.e. before you got your face sandblasted by the beach bully and after you took that protein shake or muscle builder to get even. Bullying is a phenomenon where a person or group wilfully targets someone with the intention of troubling them over a specific thing. (Bullies generally pick on someone they perceive as physically, mentally, financially, socially or racially inferior.) There is no age-limit for bullies as the bully could be a school going kid with an attitude problem or a fully grown adult, who could indulge in it from sheer force of habit or due to a mental problem. Again there is no age limit for the victim as well. Anybody could really be a target for the bully menace, right from school children, teenagers, disabled or even old people. Well bullying has changed considerably in these times and you also have the e-bully version where insecure bullies go about harassing people, especially teenagers over the internet. Bullies resort to tactics like causing public humiliation or embarrassment to hapless victims or resort to threats or other control-based abusive behaviour. Ok so everyone has undergone bullying from time to time but the question is should you allow it to happen to your teenaged son or daughter? Mind you, here it isn't simply a question of some leg pulling by friends or teachers but some serious malice that could well destroy your teenager's confidence and cause permanent scars on his self-esteem. Yes, if your teenager is being subjected to bullying then teach him how to kick the sand right back in the bully's face. Before we learn how to do that let's see the types of bullying that your kid could be subjected to: Verbal bullying This includes teasing or making caustic remarks directed at someone on a regular basis. The school bully does that, doesn't he? As you would probably remember from your own school days that fat lout who made you quiver with fright as he snatched your lunch box away to feed the dogs. Yes, the very same guy who pulled your sister's pig-tails and called you names which made you go red in the face. You could do nothing but pray he wouldn't notice you somehow. Well so something similar could be happening with your teenager. Verbal bullying need not be done by a school friend. Even a responsible teacher could target someone for deprecatory remarks causing much embarrassment, ridicule andfeelings of inadequacy to a teenager. Sometimes kids look up to their teachers for encouragement and support and those very people could actually damage a child's self-esteem by unjustified criticism and bullying behaviour.Teenage girls could suffer taunts and remarks about certain physical traits and since they are at a delicate age where their bodies are undergoing changes, such verbal abuse can indeed cause long-term depression or personality issues. Physical bullying Physical bullying is where your teenager could be subjected to physical harassment at the hands of the bully. Whether it is a simple case of holding your teenager's hand or unprovoked physical assault, the end result is the same-injuries to the body and mind. The bully may not go as far as inflict any visible scars on the teenager's body but the episodes could certainly cause great fear and trauma to him. Even teenage girls are not spared physical abuse at the hands of bullies. In certain cases, teens suffering from long-term bullying actually took some extreme measures by committing suicide or breaking down completely. Internet bullying Internet bullying is where your teenager is probably most vulnerable. At least school bullying is restricted to school, but here your teenager is at the mercy of just about everyone - from the school bully to the earnest paedophile! Causing embarrassment on public forums, threats of physical or sexual harm is the most common and as a parent you have to take every step possible to not just protect your child but also help him take care of himself or herself. The bully menace The school bully is comparatively easier to deal with than the internet lout! Well, one can't be too sure of that statement either since these days,school kids are known to blow up their own classmates or participate in a heist with adult precision. Always watch out for the classic signs of bullying. If your child appears withdrawn or disturbed after school hours then gently probe and encourage your child to tell it all. If you feel there is enough reason to think your child is being subject to bullying then bring it to the notice of the school immediately as others could have similar complaints. Do not admonish your child or scold him as it could cause him to withdraw in to the shell that the bully provided him in the first place. Parents and elder siblings can be bullies too so remember that. Teach your child to stand up to bullies. The bully is generally an insecure person who uses brute force to feel good about himself, at the cost of others. The school bully generally has his way and is not used to being challenged. Teach your child to look the bully in the eye and register protest. This will go a long way in teaching your child how to fight back and not take any nonsense from others.If the situation worsens, then always keep a track of your teenager's whereabouts especially if it is a girl. Once the bully realizes that he is being tracked he generally lies low or picks on someone else. Internet bullying requires different measures. You can monitor your child's online activities and teach them to never ever share any personal information or photographs online or on forums which are off-limits for children and adolescents. You can complain to the authorities if things get out of hand. If someone repeatedly issues threats to your teenager, either online or in real life, is a cause for real concern and one must take them seriously. If your child does not learn to cope with bullies it could affect him well in to adulthood, where he will feel helpless and easily scared by imposing people or even develop a hatred for authority figures. Bullying can fuel an already weak personality in to gaining an inferiority complex; the flip side is that kids who have been subjected to bullying can repeat the same patterns on their younger siblings or at school. So a bully creates another bully if continued unchecked. Mental problems in children are on the rise, so bullying is also no longer an innocent joke but could be a serious crime. Bullies whether children or grown-ups, suffer from some personality disorder or a serious inferiority complex which makes them compulsive trouble makers and their victims are generally people who cannot hit back or are vulnerable. Take Hitler for instance. Wasn't he just a bully who was unhappy in his own life? Look what he did to millions of innocent people. Wasn't that a bully gone berserk?  
Not very chummy! Menophobia - The fear of periodsMenstruation or periods begin as female reaches puberty. This is the time when there are hormonal changes which occur in the body as nature takes the girl and makes her ready for womanhood. The onset of periods can be distressful with lots of mood swings accompanied by abdominal cramps, bloated feet as the menstrual blood flows. This is also a time when the girl needs to be comforted and educated the most, as it can be truly a terrifying experience. Normally mothers or elder women in the family ensure that they take complete care of the girl in this transition phase. For some women, their initial experience with periods may not have been particularly pleasant, causing them to actually dread those 4 days and this fear can then take the shape of a full blown phobia -Menophobia! The reason could vary. For some the pain factor could be the reason for menophobia, while for others, it could be the memory of embarrassing red stains on the clothes which could set it off. In menophobia, just before the onset of the periods, the person starts getting anticipatory anxiety and the pain which could be normal period pain, is then imagined to be ten times worse. This brings on panic attacks and feeling of utter dread which while is entirely psychological can be utterly distressful and downright crippling. Counseling can help greatly along with pain medication to manage the pain and the fear of this natural phenomenon called periods. In therapy, this is what is iterated. That menstruation is a completely natural process and if there is a fear of menstrual blood then gradually, the woman is encouraged to accept it as a natural body function which plays a major part of her being a woman.
5 cardinal sins for the skinWhile cigarettes may not constitute food in the strictest sense, it does have a profound effect on skin complexion, health, color and tone. We eat that we may live, but sometimes we eat way too much and consume stuff that may be extremely hazardous to our health. Since we are talking about skin, here are 5 most hazardous foods for your skin: Grease adds to the crease Since healthy skin is all about healthy blood circulation, any food which is likely to clog up the blood vessels internally is deemed bad for skin tone. Packaged snacks like potato chips may have edible oil written in bold but this contributes significantly to the slowing down of 'collagen and elastin syntheses' which in turn causes the skin to appear aged and all wrinkly. The french fries that we consume as a TV snack can also cause an acne outbreak on the skin and face. Gluten Glutton Gluten is a substance found in wheat and other food grains. We may not even be aware that some of the food grains have gluten as a main constituent. Gluten intolerance can also cause inflammations on the skin in the form of rashes or acne. Bad news is that the pizzas, pastas, cakes and bread that we get off the rack may be heavy in gluten (Surprised that they don't say that on the pack) and that may be the reason for you to lose precious skin tone. So seek gluten free foods, though that might not be the easiest of tasks, but for your skin, it certainly will be worth it. Caffeine - the skin coffin If you are one of those coffee addicts then you may as well write an obituary column lamenting the loss of your skin tone and complexion. It's not without reason that health freaks love bashing coffee beans and caffeine rich beverages, as they are truly hazardous. How? Studies have proven that just 2-3 cups stimulate pituitary-adrenocortical response. Yes, but what does that have to do with your skin? Well this leads to the hormone cortisol to increase in our bodies. Cortisol is known as the stress hormone! So now here's what it does to your skin -it accelerates the ageing process which means wrinkled skin and causes dehydration causing the skin to show an unusual pallor. So before you turn the coffee faucet on think twice. Fad to Black How fad diets are not skin friendly? Some people go on a high protein, low-carb diet which could sound the death knell as far as complexion goes. Dieting depletes calcium levels, which means your bones are going to suffer and what's the point of having skin on bad bone density? Besides low-carb diets can utterly wreck the complexion as the delicate PH balance in the skin is ruined. Some of the meat, poultry and dairy products too can have artificial chemicals injected in them which cause a hormonal imbalance in our bodies leading to skin disasters. Fruits and vegetables have chemicals injected too sometimes! Beware! Cereal Killers Cereal killers are those people who ignore the need of a proper diet for skin health. So anybody who indulges in too much sugar, caffeine and greasy food stuffs is a 'Cereal Killer' A lack of cereals in the diet can literally kill your skin. Cereal foods have high fiber and antioxidants for moisturizing the skin and protecting it from skin damage. For great skin other than cereals which are simply fabulous for keeping skin hydrated and breathing easily, one can eat fruits, olive oil, healthy fats, almonds, tofu, grains, nuts and the good old vitamin B rich products. Ceramides in raw food diets, organic foods, wheat germ and brown rice protect the epidermis of the skin and make it impervious to external attacks and pollutants while maintaining their tone and beauty.
5 Muscle building smoothiesProtein is highly important for muscle building as it repairs the muscles and help in their rapid recovery after a workout. That is why most of the trainers recommend taking protein smoothies after workouts. Generally, banana and peanut butter alternatively, are used to add the protein content to the smoothies. Apart from these, Chocolate is a hot favourite as well. But if these do get boring, here are some smoothie ideas, only for you. Hot Cocoa (bed-time and post workout) Ingredients: 1-cup milk (fat-free), 1 scoop whey protein chocolate, 1 packet Swiss Miss Diet hot Cocoa and ½-cup cottage cheese (low fat). Recipe Heat the milk and just when it gets to the boiling point, blend it in the blender with the protein, cottage cheese and cocoa until smooth. Ensure that the mixture has mixed well. This protein smoothie can be taken just before bedtime as well, because the cottage cheese contains slow digesting proteins that are great for overnight muscle repairing. Each glass of the Hot Cocoa smoothie contains: Calories-275 Protein-44 gms Carbs-20 gms Fat-1 gm Fiber-0gm Root Beer Float (post-workout) Ingredients: 1 scoop vanilla flavored whey protein, ½ cup vanilla yoghurt (fat free(, 1 scoop vanilla casein protein and 1 ½ cup root beer Recipe In a bowl mix all the protein powders into the yogurt slowly and stir well to avoid clumps. Now, pour the root beer in a large beer glass and add this mixture of yoghurt carefully, without stirring. Since the root beer starts carbonation process, the shake becomes quite frothy without having to use a blender for mixing. Each large glass of the Root Beer Float smoothie contains: Calories-443 Protein-48gms Carbs-61 gms Fat-1 gm Fiber-1 gm Post workout or pre-workout smoothies provide the necessary protein to the body that contributes in rapid muscle recovery and growth. Peach Cobbler (pre-workout) Ingredients: 1-cup water, ½ can of sliced peaches with juice, 1 scoop vanilla whey and 1 packet Quakers Instant Oatmeal (lower sugar maple and brown sugar) Recipe Mix all the ingredients in a blender and serve. Use an immersion blender for this one, to get a finely mixed smoothie. Each glass of the Peach Cobbler smoothie contains: Calories-305 Protein-24 gms Carbs-49 gms Fat- 2 gms Fiber-3 gms Orange Creamsicle (pre-workout) Ingredients: 1-cup orange juice, ½ cup fat-free yoghurt (vanilla flavor) and 1 scoop vanilla whey protein Recipe Mix all the ingredients in the blender and enjoy your smoothie. Ensure that you use real orange juice and not the flavored orange drinks for this one to get the desired result. One glass of the Orange Creamsicle smoothie contains: Calories-280 Protein-27gms Carbs-43 gms Fat-1 gm Fiber-2 gms Chocolate Almond Brownie (pre workout or early morning) Ingredients: 1 cup milk (fat-free), ¼ cup almonds (chopped), ½ Clif brownie bar (chocolate flavor-chopped finely) and 1 scoop of chocolate flavored whey protein Recipe Mix the milk and the flavored protein in the blender and serve with almonds and Clif bar topping. Use a spoon as you will be eating as well as drinking the shake, because the almonds and the bar chips can settle to the bottom. One glass of this Chocolate Almond Brownie smoothie contains: Calories -457 Protein-39 gms Carbs-41 gms Fat-17 gms Fiber-8 gms
MigraineA Severely painful persistent headache can put anyone in distress. Migraine symptoms vary from person to person. Some people get intimation before the pain begins. It can be sparkling flashes of light, blind spots, or distortions. Some others experience tingling or "pins-and-needles" sensation in hands or face. This is called an aura. The headache begins within 30 minutes of seeing an aura and may last for 4 to 72 hours. Extreme sensitivity to light, noise, smells, nausea and vomiting, loss of appetite and fatigue, numbness, tingling, or weakness are all-common in migraine. There is no permanent solution to migraines. People suffer for years together and keep on taking painkillers for a long time. Pain killer helps only if taken right at the beginning of the headache. Keep a watch on things that trigger the migraine and try to avoid them. Make some lifestyle changes that can help prevent migraines to some extent. Taking good sleep. Lack of sleep can cause migraine. Appropriate hours of sleep as a routine will help to prevent the attacks. Regular meals at fixed time help to prevent migraines in people who get headaches due to hunger or not eating on time. Regular exercises help to rejuvenate the body and prevent migraines along with many other diseases. Stress is another important cause for migraines. Avoid stress. Learning to manage it will keep migraine at bay. Caffeine triggers migraine in many. Avoid caffeine. Reduce it if quitting is not possible. Limiting alcohol will again be very beneficial as alcohol and hangovers can be the cause. Meditation and relaxation therapies may also help prevent migraine headaches.  
Some tips to prevent night blindnessHere are some foods and eating tips, which will help improve vision and prevent night blindness: Eat dark green leafy vegetables like spinach and collards. These contain high amount of lutein and zeaxanthin, the nutrients for healthy eyes. Do not smoke. A glass of red wine daily is fine but drinking is not. Stay away from hydrogenated oils, refined carbohydrates and sugars in excess. Always wear sunglasses while going out in bright light to avoid potential sun damage to eyes.  Amber and grey-coloured lenses are effective against ultraviolet rays. See an eye specialist and get prescription glasses for driving at night, if required. Do not ride in dim light at night and see if you can postpone the work until next day. Even good lighting conditions at night even in a big city, can be troublesome to someone with night blindness. Vitamin A rich foods like spinach, carrot, papaya, broccoli, and mangoes should be added to your daily diet. Fish oil is a great source of vitamin A. Cod-liver oil is used as medicine too. Some wild plants are said to be rich in vitamin Abut they are seasonal, available in small quantities and there isn't much known about them. Beans are another fairly common source of vitamin A. These are consumed especially during autumn. Eggs are a good source of vitamin A. Eat eggs daily. People with high cholesterol should, however, limit their egg intake. Hot pepper is contains vitamin A too, but the preservation method, sun-drying, decreases the vitamin A content. Carrots are another good source. They are high in vitamin A and arenot expensive as well.
Are long hours of work bad for your sex life?As researchers in 'Occupational Health' indicate that working more than 8 hours a day could seriously shorten your life span by inviting all sorts of ailments like heart disease, sleep deprivation, chronic fatigue syndrome among others, it could very well mean sounding the death knell on your love life! So how does work affect play? The stress that goes with long work hours could certainly lower sex drive leading to feelings of frustration and inadequacy amongst partners. 'Erectile dysfunction' and lack of sexual desire are now on the increase amongst men with high pressure jobs and fancy designations. This in turn adds more strain on the relationship as partners naturally feel spurned due to the general lack of intimacy and sex. There is also the added danger of extra marital affairs as hours away from home can increase the chances of one night stands or casual sex thereby increasing the risk of STDs and sexual guilt which can only spell doom on the home front. So if you are a busy person this is what you can do to keep your bed from crumbling: Take a break now and again from work to call your spouse or partner. This can indicate that though you are busy he/she is foremost on your mind. Do not sacrifice your weekly offs as this is the time that your body, mind and spirit need all the healing that they could possibly get at the hands of your mate. Try and involve your mate as much as possible on what is happening at the work place. This way your contribution at your work place can be appreciated and can lessen the grouse, somewhat, like you are never available and similar other complaints. Preferably keep time for making love. These moments of intimacy are really what makes life worth living and should be given as much prominence as your promotions and annual appraisal. Do not miss out on your meals and exercise routine that ensure that despite hectic work pressures, you can still summon up enough energy to make love. Try a relationship counsellor to help you fine tune your work schedule to your home life.  
Sex after 40Sexual changes in normal aging after 40: Erection takes longer time Require manual stimulation, particularly by partner Erection may subside during foreplay or coitus Decreased frequency of nocturnal erection Pre-ejaculatory fluid decrease or absent Ejaculation less forceful Seminal fluid volume decreases or absent Frequency of desire for sexual release decreases with age. Aged couples learn to cope with their own sexuality. Some are happy with foreplay and self masturbation, others insist on more usually it is the male. Frequency of sexual intercourse between 20-95 years : Sexual intercourse decreases with age as the study shows. Decreased during 5year interval after 34 years Weekly frequency: 30 - 34 years 2.2%; 60 - 64 years 0.7%; 65  - 74 years 0.4%; 75 - 79 years 0.3% Do we need to change this pattern with Viagra? I would say yes - sex can be  joyful till the last days. Nobody needs to be impotent now. Home devices like rubber bands, ribbons are also used to hold the blood back in the penis when the erection is not adequate. Vacuum pump to draw blood into penis with an application of a ring after erection is also found suitable by some. Active intervention by drugs (both allopathy, ayurvedic and unani) have been successfully developed. They may be applied topically (minidoxil), inhaled (amyl nitrate) inserted into the urethral passage, injected into the corpus cavernosa or taken orally (Sildenafil, Tadalafil, etc.). Finally if all fails silastic rods can be implanted in the penis to give permanent erection. The joy of living lasts a life time.
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